South African Population Research
Infrastructure Network


The project integrates the three existing Health and Demographic Surveillance System (HDSS) nodes in South Africa, namely:

  • Agincourt HDSS in Bushbuckridge District, Mpumalanga -established in 1992 with a current population of 115,000
  • DIMAMO HDSS  in Capricorn District, Limpopo-established in 1996, with a current population of 105,894
  • Africa Health Research Institute HDSS in uMkhanyakude District, KwaZulu-Natal-established in 2000, with a population of 165,000

Two more HDSS are in the process of being set up: 

  • Gauteng Research Triangle Initiative for the Study of Population, Infrastructure and Regional Economic Development (GRT-INSPIRED), Hillbrow, Johannesburg, and Atteridgeville and Melusi, Tshwane, Gauteng will be developed in 2020

  • Cape Town Surveillance through Healthcare Action Research Project (C-SHARP), Nomzamo and Bishop Lavis, Cape Town, Western Cape will be developed in 2021

HDSS nodes

The network of HDSS nodes will be expanded to include new nodes in eThekwini (urban), Eastern Cape (rural).    The expanded network will cover a more inclusive spectrum of sections of impoverished yet dynamically developing populations, and incorporate dynamic, bi-directional, migration flows linking poor, rural communities with urban centres.